Organization
ANOUSHIRAVAN BOGHAIRI MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANOUSHIRAVAN BOGHAIRI MD (PRESIDENT)
(619) 698-6667
Entity
Organization
Contact information
Practice address
5565 GROSSMONT CENTER DRIVE, BLDG 1 STE 115, LA MESA, CA 91942
(619) 698-6667
(619) 698-6684
Mailing address
5565 GROSSMONT CENTER DRIVE, BLDG 1 STE 115, LA MESA, CA 91942
(619) 698-6667
(619) 698-6684
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
05/29/2007
Last updated
08/22/2020
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